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Premature Ejaculation

Premature Ejaculation is mainly the release of semen during orgasm from the male sexual organ. When ejaculation occurs earlier than you or your partner would like, it is considered premature ejaculation. 

However, if you are also experiencing premature ejaculation then don’t worry because it is very common among men between the age group of 18 to 59 years. 

It is important for you to know that premature ejaculation or PE is also known by other names like:

Rapid ejaculation
Early ejaculation
Premature climax

Premature ejaculation often turns out to be a frustrating experience for both you and your sexual partner. This is because PE makes your sexual life less enjoyable. 

The main causes behind premature ejaculation include chemical imbalances, physical issues, and psychological factors. But the good news about premature ejaculation is that it can be treated easily with the right medication. 

Is premature ejaculation also considered a type of sexual dysfunction?

Yes, premature ejaculation is a type of sexual dysfunction. You need to know that sexual dysfunction is a type of problem that restricts a couple to indulge in sexual activity and enjoyment.  

A number of people often get confused between premature ejaculation and erectile dysfunction. But remember PE is different from erectile dysfunction. 

Erectile dysfunction is a condition when a man is not able to attain and maintain an erection that is needed to indulge in sexual activity. However, it is possible for you to experience premature ejaculation with erectile dysfunction.  

Is there any symptom of premature ejaculation?

No, the only symptom of premature ejaculation is the condition itself. It is important to consult the doctor immediately and get the right treatment. 

You must know that premature ejaculation is mainly classified as lifelong or acquired. 

Lifelong (primary) PE means you have already had this experience always or almost always right from your first sexual experience. 

Acquired (secondary) PE means you had longer-lasting ejaculations in your life but have developed the problem of premature ejaculation. 

Causes of premature ejaculation

When it comes to premature ejaculation, several physicals, chemical and psychological factors contribute. 

Some of the physical and chemical problems include:

An underlying erectile dysfunction or impotence diagnosis
A hormonal issue with oxytocin levels plays a vital role in sexual function in men. There are also some other hormone levels that are important in sexual function such as prolactin, luteinizing as well as thyroid-stimulating hormone. 
A penis that is extra sensitive for stimulation. 
Low levels of serotonin or dopamine, are chemicals in your brain that are indulged in sexual desire and excitement as well. 

Psychological or emotional causes include:

Depression 
Relationship issues
Performance anxiety can be due to the edginess of being with a new partner, the restlessness of indulging in sexual activity again after a long time, guilt, lack of confidence, and being over-excited. 
Stress

Therefore, these are some major causes of premature ejaculation. 

Is premature ejaculation considered a sign of a serious health issue?

No, not in most cases, because it is very rare that premature ejaculation is an outcome of any severe health condition like nervous system damage. 

How does a doctor diagnose the causes of premature ejaculation?

In case, you have frequent premature ejaculation or if premature ejaculation is making you suffer from depression and affecting your relationship badly then immediately make an appointment with an experienced urologist. 

The urological start with an exam by asking some questions linked to your sexual experiences. Some of the main questions asked include:

How often do you experience premature ejaculation?
For how long have you been suffering from this problem?
Does it happen with all partners?
Under what kind of conditions does it happen?
Do you find difficulty in maintaining an erection?
Do you suffer from premature ejaculation whenever you attempt sexual activity?
Do you experience premature ejaculation when you masturbate?

Though these questions are personal it is vital for you to answer honestly to your urologist. This will ultimately help the urologist to diagnose the right cause of the problem. 

The urologist is also going to ask about all other medical conditions you have (if any). Also, inform about the other medicines you take like supplements, over-the-counter medicines, and herbal products. 

Keep one thing in your mind, your urologist will also ask about using alcohol and illegal drug. 

Treatment of premature ejaculation

Depending upon the cause of your premature ejaculation, the doctor will determine the best treatment for you. The treatments usually include behavioral therapy, medicines as well as counseling. 

Generally, most causes of premature ejaculation are treated with behavioral therapy or counseling first in order to assist with emotional concerns and anxiety that might be contributing to PE. 

It might be possible that your doctor tries more than one treatment approach at the same time. 

Here are some effective treatment options for premature ejaculation:

Start-and-stop & squeeze method 

There are two main strategies that you and your partner can utilize the start-and-stop method as well as squeeze method. 

With start and stop, your partner will stimulate your penis unless you are close to ejaculation. The partner needs to stop this until you feel are now again in control. 

Your partner needs to repeat this same process two more times. Then engage in the fourth attempt, permitting yourself to ejaculate properly.

On the other hand, with the squeeze method, your partner arouses your penis unless you come close to ejaculating. Then your partner needs to firmly squeeze your penis unless your erection begins to decline. 

This will help you to better realize the sensation before climaxing, helping you to have better control and be able to delay ejaculation.

Pelvic floor exercises

Certain muscle exercises also play a vital role in treating premature ejaculation. Particularly, you will benefit from male pelvic floor exercises.  

In order to find your pelvic floor muscles, concentrate on stopping urination in midstream or make use of certain muscles to keep you from passing gas. 

Once you understand where the muscles are, you can also practice exercises called Kegel maneuvers. You can practice such types of exercises while standing, sitting, or lying down.    

When performing Kegel exercises, make sure you do not use your abdominal or buttock muscles. 

Counseling 

If the cause of your premature ejaculation is emotional, psychological, or relationship problems because of depression, guilt, anxiety, or stress then seek the help of a psychologist or couple therapist. 

You can take the help of your urologist because he might have better links with these health professionals. 

Medicines

Although there are several medicines that treat premature ejaculation Extra Super P-Force is the most effective one. It is a combination of two drugs i.e., Sildenafil and Dapoxetine. 

The presence of Dapoxetine helps in treating premature ejaculation in men effectively and assists to indulge in sexual activities for a long time. While medicines like Cialis, Levitra, and Viagra treat premature ejaculation in men with underlying erectile dysfunction.

Therefore, if you experience premature ejaculation then contact your urologist who will help you with the best treatment plan. It is also important for both partners to be supportive to deal with premature ejaculation successfully.